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Social Return on Investment (SROI) in Global Health &
Development: A New Framework for Valuing What Matters
Shubha Kumar, PhD, MPH Assistant Professor & Director of Distance Education Programs
Disease Prevention & Global Health University of Southern California
Global Health & Innovation Conference Yale University, New Haven, CT
April 2014
∗ Source: Devex (2014). The Best Buys Issue: Where to Invest in Global Health in 2014. Impact.
Biggest Challenge in Global Health?
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∗ Source: Devex (2014). The Best Buys Issue: Where to Invest in Global Health in 2014. Impact.
Most Critical Investment in Global Health in next 5-10 years?
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∗ Source: McCoy et al. (2009). Global health funding: how much, where it comes from and where it goes. Health Policy & Planning. Vol 24: 407-417.
Financing Global Health
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∗ Source: Devex (2014). The Best Buys Issue: Where to Invest in Global Health in 2014. Impact.
∗ Source: Devex (2014). The Best Buys Issue: Where to Invest in Global Health in 2014. Impact.
Best Measures of Success in Global Health?
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∗ A process for understanding, measuring, and reporting on the social, environmental, and economic value created by an organization, program, or policy
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What is SROI Analysis?
Why SROI Analysis for Global Health?
MACRO
∗ Better information- better decisions- better health
∗ Get the best value for money
∗ Strike a balance between investments
MICRO
∗ Internal Performance Management
∗ Attract/disburse funds
∗ Strengthen relationships with key stakeholders
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∗ When: ∗ Planning (prospective) ∗ Evaluation (retrospective)
∗ How: ∗ At the policy level ∗ At the organizational level ∗ At the program level
∗ Who: ∗ Non-profits/NGOs, Government agencies, For-profits/CSR,
Donors, Investors, etc. 5
Using SROI
“WHAT GETS MEASURED, GETS VALUED” 1. Involve stakeholders 2. Understand what changes 3. Value what matters 4. Only include what is material 5. Do not over-claim 6. Be transparent 7. Verify results
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Principles of SROI Analysis
1. Establishing scope and identifying key stakeholders. 2. Mapping outcomes. 3. Evidencing outcomes and giving them a value. 4. Establishing impact. 5. Calculating the SROI. 6. Reporting, using, and embedding.
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How to do an SROI Analysis: Six Stages
Inputs Activities Outputs Outcomes IMPACT
∗ Multiple Types of Information (Mixed Methods) ∗ Quantitative, Qualitative, Financial, Narrative
For example, an SROI of 3:1 indicates that for every $1 invested, the program delivers $3 in value (economic, social and/or environmental)
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Key Features of SROI Analysis
Stakeholders Identified:
∗ Priorities:
∗ Disparate services exist but need coordination ∗ Need for a Good Samaritan Policy ∗ Need for a centralized emergency phone number that actually
works ∗ Ambulance vehicles exist but need equipment upgrade+staff
training ∗ Ambulance dispatch technology already exists! ∗ Pilot should include entire Nairobi, not just certain districts for
political and equity reasons
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Selected Differences in Estimates of SROI and CBA
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Cost Benefit Analysis
SROI Analysis
∗ Costs Include: ∗ 74 Staffed Ambulances ∗ 25 Ambulance Equipment
Upgrades only
∗ Benefits Include:
∗ $ Value of lives saved ∗ $ Value of less disability ∗ $ Value of skills acquired
through trainings ∗ $ Value of less welfare spending
∗ Costs Include: ∗ 99 Staffed Ambulances ∗ Emergency Dispatch
Technology
∗ Benefits Include: ∗ $ Value of lives saved
∗ International HIV/AIDS Alliance: The true cost of stigma in Zambia
∗ International HIV/AIDS Alliance: CHAHA Program for children affected by HIV/AIDS in India
∗ Mkombozi: Delivering health services in the streets of Moshi, Tanzania
More Examples: SROI Reports in Global Health
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Encourages accountability, transparency, and sustainability in decision-making
Places stakeholders at the center of the process, including beneficiaries of aid whose voices have often been ignored
Some challenges: monetization, comparability, etc.
Not a magic bullet, but can provide added value over current approaches
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Findings Summary: SROI Analysis
∗ The International SROI Network (www.thesroinetwork.org) ∗ New Economics Foundation (www.neweconomics.org) ∗ SVT Group (www.svtgroup.net) ∗ SROI Online Training (www.globalsroi.com)
∗ My email: shubha.kumar@usc.edu
THANK YOU
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SROI Resources & Support
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